Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,725.04	Facility		$1,452.25	$1,452.25	$1,725.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,510.34	Professional		$1,452.25	$1,452.25	$1,510.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.97 / $1,452.25 / $1,452.25	Professional		$266.97	$1,452.25	$1,452.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.79 / $1,370.05 / $2,550.00	Facility		$123.79	$1,370.05	$2,550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Professional		$1,452.25	$1,452.25	$1,452.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,452.25 / $3,082.61	Facility		$319.00	$1,452.25	$3,082.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,438.55 / $1,452.25 / $2,589.39	Professional		$1,438.55	$1,452.25	$2,589.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,507.06	Facility		$1,452.25	$1,452.25	$1,507.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,507.06 / $1,507.06	Professional		$1,452.25	$1,507.06	$1,507.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $123.79 / $1,370.05 / $2,550.00	Facility		$123.79	$1,370.05	$2,550.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,651.47	Professional		$1,452.25	$1,452.25	$1,651.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $2,178.38	Professional		$1,452.25	$1,452.25	$2,178.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,507.06 / $1,507.06 / $1,507.06	Facility		$1,507.06	$1,507.06	$1,507.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,507.06 / $1,507.06	Professional		$1,452.25	$1,507.06	$1,507.06